Individual
MIRANDA 'RANDI' HARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
207D COLEGATE DR, MARIETTA, OH 45750-2363
(740) 376-0930
(740) 376-0933
Mailing address
207D COLEGATE DR, MARIETTA, OH 45750-2363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1700064-TRNE
OH
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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